Rodriguez, Michelle

Rodriguez, Michelle is an sole proprietor health care provider with primary practice located at 2219 Mallory Cir , Haines City FL 33844-2412. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Rodriguez, Michelle can be contacted via phone (863) 207-2289.

Contact Information

Primary practice address
2219 Mallory Cir Haines City FL 33844-2412
Phone: (863) 207-2289
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X L170000252495 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X CBHCMS100674 Florida

Profile Details

NPI number 1396129615
LBN Legal business name Rodriguez, Michelle
Credentials CBHCM-S. 100674
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2015
Last updated Apr 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396129615 NPPES
Florida MEDICAID 016395300

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